Organization
GLAZE NON EMERGENCY TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONDRA GLAZE (MANAGING MEMBER)
(706) 436-0489
Entity
Organization
Contact information
Practice address
1944 SHALLOW CREEK RD, ELBERTON, GA 30635-3757
(706) 436-0489
Mailing address
1944 SHALLOW CREEK RD, ELBERTON, GA 30635-3757
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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